Active NPI
Sri Satya P Medidhi, BPT
- Physical Therapist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP000830T
- Practice address
- 325 Oil Center Dr
Lafayette, LA 70503-2419 - Phone
- (337) 504-5144
- NPI assigned
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6811 | MS | |
| Physical Therapist | 225100000X | CP000830T | LA | Primary |
Addresses
Primary practice location
325 Oil Center Dr
Lafayette, LA 70503-2419
Mailing address
325 Oil Center Dr
Lafayette, LA 70503-2419
Phone (337) 504-5144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Brandywine Dr
Mastic, NY 11950-1404
6202 Gist Ave
Baltimore, MD 21215-3608
9021 Balin CT
Pikesville, MD 21208-2151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000830T | LA | MD | Physical Therapist |
| 6811 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lea'S Place LLC | Physical Therapist | Current | Accepting new patients |
| Lynch Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Paramount Diagnostics LLC | Physical Therapist | Past | Accepting new patients |
Locations
1848 Reisterstown Rd
Ste A
Pikesville, MD 21208
Phone (410) 292-8725
485 Ritchie Hwy
Ste A202
Severna Park, MD 21146
Phone (410) 960-1601
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurorehabilitation Occupational Therapist
- Pikesville, MD
- NPI 1649890633
Physical Therapist
-
- Physical Therapist
- Towson, MD
- NPI 1861042954
-
- Physical Therapy Clinic/Center
- Essex, MD
- NPI 1518645381
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1952948663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 OIL CENTER DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032419",
"telephone_number": "337-504-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 OIL CENTER DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032419",
"telephone_number": "337-504-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDIDHI",
"first_name": "SRI SATYA",
"middle_name": "P",
"credential": "BPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "6811",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "CP000830T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.